highly significantp = 0.006
There was a highly significant decrease in serum levels of IgM-RF at 16 (p = 0.006) and 24 weeks (p<0.001) after treatment ( fig 1 ).
There was a highly significant decrease in serum levels of IgM-RF at 16 (p = 0.006) and 24 weeks (p<0.001) after treatment ( fig 1 ).
The reduction of macrophages also showed a trend for predicting clinical improvement at week 24 in the univariate analysis (p = 0.051), but when analysed together with the decrease in plasma cells in a multiple linear regression model, it was not an independent predictor of the decrease in DAS28 (p = 0.216, partial correlation 0.399).
On the group level this change did not reach statistical significance due to the variability of the response.
There was no statistically significant additional reduction of synovial B cells at 16 weeks on the group level, but there was a clear trend towards more pronounced B cell depletion in 7 of the 15 patients who had persistent B cells at week 4 (median 39 cells/mm 2 (IQR 12–89) and 4 (0–22), at respectively 4 and 16 weeks after rituximab infusion).